Pharmvue Corporation

Primary specialty

PharmacyTaxonomy code 333600000X

License

P05973 Issued in MD

Legal business name

PHARMVUE CORPORATION

Doing business as

Southern Maryland Compounding Center

Practice address

3460 Old Washington Rd
Suite 103
Waldorf, MD 20602-3240

Phone

(301) 645-2400

Fax

(301) 476-0382

NPI assigned

Apr 24, 2013

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Najwa Brown, RPH

Title

Vice President

Phone

(301) 645-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHERN MARYLAND COMPOUNDING CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1508200163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 SMALLWOOD DR W",
            "address_2": "SUITE 284",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034732",
            "telephone_number": "301-645-2400",
            "fax_number": "301-476-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023240",
            "telephone_number": "301-645-2400",
            "fax_number": "301-476-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMVUE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NAJWA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-645-2400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P05973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335728700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN MARYLAND COMPOUNDING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deidhra Peter-Thomas
• Peterson & Reddy, D.D.S., P.a.
• Donald P Peterson, DDS, FAGD
• Ashok Pettem, B.PHARMACY
• Daniel Pfannenstein, LCSW-C
• Philip Wisotsky M.D., P.C.
• Justin Phillip
• Physical Medicine Associates, LTD
• Erika Nicolette Pierce, LICSW
• Benjamin R Pimentel, M.D.

• Pharmacy in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.